Yintoni ebangela amasende amancinci, kwaye ubungakanani bamatyhalarha buchaphazela njani impilo yakho?

Umxholo

• Ungabulinganisa njani ubungakanani bamatyhalarha
• Ngaba ubungakanani bamatyhalarha buyayichaphazela i-testosterone kunye nokuzala?
• Ubungakanani bamatyhalarha nempilo yentliziyo
• Ubungakanani bamatyhalarha nokulala
• Ubungakanani bamatyhalarha kunye nethuku looyise
• Yintoni ebangela amasende amancinci
• Indoda hypogonadism
• Hypogonadism yaseprayimari
• Hypogonadism yesibini
• Varicocele
• Iimvavanyo ezingachazwanga
• Ufuna nini uncedo
• Luluphi unyango olufumanekayo kumasende amancinci?
• Ukunyanga ukungachumi
• Ukunyanga i-varicocele
• Ukunyanga iimvavanyo ezingafunekiyo
• Ngaba izongezo ezingamadoda okanye izongezo zinokwandisa ubungakanani bamatyhalarha?
• Ngaba kufanelekile ukuba ndikhathazeke ngobungakanani bamatyhalarha am?

Bungakanani ubungakanani bamatyhalarha?

Njengawo onke amalungu omzimba, ubungakanani bamatyhalarha buyahluka kuye umntu buye emntwini, amaxesha amaninzi bunempembelelo encinci okanye abunampembelelo empilweni.

Ityhalarha lakho lilungu elime okweqanda, nelivelisa isidoda ngaphakathi kwisingxobo sakho samatyhalarha. Ubude obuqhelekileyo bamatyhalarha buphakathi kweesentimitha ezi-4.5 ukuya kwezingama-5.1 (malunga ne-1.8 ukuya kwii-intshi ezi-2). Amatyhalarha angaphantsi kweesentimitha eziyi-3.5 (malunga nee-intshi ezi-1.4) ubude athathwa njengamancinci.

Ungabulinganisa njani ubungakanani bamatyhalarha

Ukulinganisa ubungakanani beemvavanyo zakho kuhlala kwenziwa nge-ultrasound. Olu vavanyo lubuhlungu, olungenakuhlasela lusebenzisa amaza esandi ukwenza imifanekiso engaphakathi komzimba wakho kwikhompyuter.

Esinye isixhobo esilula esisetyenziselwa ukulinganisa ubungakanani bamatyhalarha sibizwa ngokuba yiorchidometer. Ngokusisiseko ngumtya wamaso okwe ovali ngobukhulu obahlukeneyo, onke aphantse alingane ityhalarha lomntu.

Ugqirha wakho uyabuva ubungakanani bamatyhalarha akho aze awathelekise namanye wamaso kwi-orchidometer.

Ukulinganisa ekhaya, ungazama ukusebenzisa itape yokulinganisa ukufumana umlinganiso olinganiselweyo. Ukuba wenza njalo, thatha ishawa eshushu kuqala ukuze uqiniseke ukuba amasende akho akakhutshelwa emzimbeni wakho ukuze afudumale. (Eli ikwalixesha lokuba uzivavanye ngokwakho xa ujonga amaqhuma okanye ezinye iimpawu zomhlaza wamatyhalarha.)

Ngaba ubungakanani bamatyhalarha buyayichaphazela i-testosterone kunye nokuzala?

Amatyhalarha akho anemisebenzi emibini ephambili:

• ukuvelisa isidoda ukuvelisa kwakhona
• ngokufihla i-testosterone yamadoda, ebalulekileyo kuphuhliso lweempawu zomntu oyindoda kunye nokuqhutywa kwesondo

Kuba isidoda siveliswa kumatyhalarha akho, unokuvelisa isidoda esincinci kunomyinge ukuba unamasende amancinci. Malunga neepesenti ezingama-80 yevolumu yamatyhalarha iqulethe ii-seminiferous tubules, izakhiwo ezifana neetyhubhu ezenza iiseli zesidoda.

Kuphononongo luka-2014 olupapashwe kwiJenali yaseAfrika yeUrology, abaphandi bafumanise ukuba isayizi encinci yamatyhalarha iyahambelana nokuncipha kwesidoda.

Nangona kunjalo, unokuba namatyhalarha amancinanana kunomyinge kwaye uchume nje njengomntu onamasende amakhulu.

Ukuba uzama ukuba ngutata womntwana kwaye wena neqabane lakho ningaphumelelanga, kuya kufuneka niqwalasele ukubona ingcali yenzala. Amanqanaba akho e-testosterone kunye nokubala kwesidoda kunokulinganiswa ukumisela ukuba zihambelana nengxaki zakho zokuzala.

Ubungakanani bamatyhalarha nempilo yentliziyo

Ukuba namasende amancinci kunokuba yinto elungileyo xa kufikwa kwimpilo yentliziyo yakho.

Iziphumo ezivela kumadoda amadala angama-2,800 amaTaliyane afuna unyango lwe-erectile dysfunction zibonisa ukuba amadoda anamasende amakhulu anokuba semngciphekweni omkhulu wesifo sentliziyo kunamadoda anamasende amancinci.

Akucaci ukuba kutheni lo mbutho ukhona, kwaye abaphandi baqaphela ukuba ngenxa yokuba uphononongo lwalungamadoda ane-erectile dysfunction, iziphumo zinokungasebenzi kuwo onke amadoda.

Amanqanaba asezantsi e testosterone (T esezantsi) ayanyaniswa nomngcipheko ophezulu wesifo sentliziyo. Nangona kunjalo, ukunyanga i-T esezantsi ngonyango lwe-testosterone kusenokwenzeka Nyusa amathuba akho okuba neengxaki zentliziyo.

Izifundo zibonise ubungqina obuphikisanayo ngalo mbandela. Ke, ukuba une-T esezantsi, xoxa ngonyango lwe-testosterone nogqirha wakho kwaye uqiniseke ngokuthetha ngophando lwamva nje ngomngcipheko kunye nezibonelelo zonyango olu.

Ubungakanani bamatyhalarha nokulala

Iqela labaphandi baseDenmark lijonge unxibelelwano phakathi komgangatho wesidoda, ukubala kwamadlozi kunye nobungakanani bamatyhalarha. Bafumene ubungqina bokuba ukulala okungalunganga kunxulunyaniswa nokubalwa kwesidoda. Unxibelelwano phakathi kobungakanani bamatyhalarha nokulala okungalunganga kwakungangqinelani. Ubungqina obuninzi bufunekayo ukuqonda ngcono unxibelelwano phakathi kwamasende, umgangatho wesidoda, kunye nokulala.

Abaphandi baphinde baqaphela ukuba amadoda axela ukuphazamiseka kokulala rhoqo bahlala ubomi obungenampilo (umzekelo, ngokutshaya, ukutya ukutya okunamafutha amaninzi, kunye nezinye izinto ezingafunekiyo). Ezi zinto zokuphila zinokudlala indima enkulu kwimpilo yokulala kunayo nayiphi na enye.

Ubungakanani bamatyhalarha kunye nethuku looyise

Ukuba unamasende amancinci, unokuba nakho ukubandakanyeka, ukhulise umzali. Abaphandi baqaphele ukukhula kwendalo kwamanye amantshontsho ukugxininisa ezi zinto zifunyanisiweyo.

Iitshimpanzi zesilisa, umzekelo, zihlala zinamatyhalarha amakhulu kwaye zenza isidoda esininzi. Ujoliso lwabo lubonakala lujolise ngakumbi ekumelaneni kunokukhusela abantwana babo.

Kwelinye icala, iigorila ezingamadoda zidla ngokuba namatyhalarha amancinci kwaye ziyayikhusela inzala yazo.

Abaphandi bacebisa ukuba amanqanaba aphezulu e-testosterone, adityaniswa namatyhalarha amakhulu, anokunceda ukuhambisa amanye amadoda ekuziphatheni ngaphandle kwezandla zabantwana.

Abaphandi bakwakhankanye izifundo zangaphambili ezifumanise ukuba ootata ababandakanyeka kakhulu kukhathalelo lwemihla ngemihla lwabantwana babo banamazinga asezantsi e-testosterone. Umbono kukuba ukuba ngutata okhulisayo kunokunciphisa amanqanaba e testosterone. Akucaci ukuba i-testosterone esezantsi idlala indima ekwenzeni umntu ukuba abe ngutata okhulisa ngakumbi okanye ukuba ngutata okhulisayo kuthoba testosterone.

Yintoni ebangela amasende amancinci

Ubungakanani bamatyhalarha buya emntwini buye emntwini, ke kubalulekile ukuba ukhumbule ukuba umahluko wesayizi unokuba nencinci okanye awunakwenza nto kwimeko yokuxilongwa. Xa kuziwa kwimpilo kunye nokusebenza kwamalungu akho esini, umahluko wesayizi awunakuba nantsingiselo.

Kukho, nangona kunjalo, ezinye iimeko ezibangela ukuba amasende abe mncinci.

Indoda hypogonadism

Omnye ubizwa ngokuba yi-hypogonadism yamadoda.

I-Hypogonadism yimeko apho umzimba ungazivelisi ngokwaneleyo i-testosterone ukunceda ukuqinisekisa ukukhula kakuhle kweempawu zamadoda, njengepenisi, amasende, kunye nobunzima bemisipha.

Hypogonadism yaseprayimari

I-Hypogonadism inokubangelwa kukuphazamiseka kwamatyhalarha, njengamatyhalarha angaphenduli kwimiqondiso evela kwingqondo yokwenza i-testosterone kunye nesidoda esaneleyo. Oku kubizwa ngokuba yi-hypogonadism ephambili.

Unokuzalwa unale hypogonadism ephambili, okanye kunokubangelwa zizinto kubandakanya:

• usulelo
• i-testicular torsion (ukujija kwentambo yesidoda ngaphakathi kwetyhalarha)
• Ukuphathwa gadalala kwe-anabolic steroid

Hypogonadism yesibini

I-hypogonadism yesibini ayibangelwa yingxaki eqala kumasende. Endaweni yoko, yimeko apho i-pituitary gland kwingqondo ingavelisi i-luteinizing hormone. Ukunciphisa iihomoni kusayina amasende ukwenza i-testosterone.

Varicocele

Esinye isizathu samatyhalarha amancinci yi-varicocele. I-Varicocele kukwandiswa kweemvini ngaphakathi kwisingxobo samatyhalarha, ngenxa yeengxaki zezivalo ezilawula ukuhamba kwegazi kwimithambo. Imithambo edumbileyo ngaphakathi kwisingxobo samatyhalarha inokubangela ukuba amasende anciphise aze athambe.

Iimvavanyo ezingachazwanga

Amatyhalarha angachazwanga anokubangela namasende amancinci. Yimeko ekhula phambi kokuzalwa, xa amasende engahambeli ezantsi kwisirhraphalala. Iimvavanyo ezingachazwanga zihlala zinokunyangwa ngoqhaqho ebusaneni.

Ufuna nini uncedo

Kubalulekile ukuxoxa ngezinto ezikuxhalabisayo malunga nobungakanani bamatyhalarha akho nogqirha wakho.

Ugqirha wakho unokumisela ukuba ubungakanani bamatyhalarha akho luphawu lwemeko yempilo esezantsi. Kungenzeka ukuba ubungakanani bakho bamatyhalarha abunanto yakwenza nomsebenzi we-erectile okanye buchaphazela impilo yakho yezesondo nangayiphi na indlela.

Ukuthetha nogqirha wakho kunokukunika uxolo lwengqondo kunye nokuqiniseka. Inokukhokelela kukhetho kunyango ukuba ngaba kufanelekile.

Luluphi unyango olufumanekayo kumasende amancinci?

Ukunyanga ukungachumi

Ukuba i-hypogonadism ichaphazela ukuzala, kukho amayeza anokunceda. I-Clomiphene (Clomid) lunyango lomlomo olonyusa iihomoni eziyimfuneko ekuchumeni.

Ihlala isetyenziselwa ukunceda abasetyhini abanobunzima bokukhulelwa, kodwa inokusetyenziselwa ukunyanga ukungachumi kwamadoda.

Inaliti ze-gonadotropin zinokusebenza ukuba amasende amancinci anciphisile ukuxinana kwesidoda. I-Gonadotropins ziihormone ezikhuthaza umsebenzi kumasende.

Unyango lwe-testosterone yokutshintsha (i-TRT) inokubonelela ngezibonelelo ezifana nokwanda:

• amandla
• ukuqhuba ngesondo
• ubunzima bemisipha

Inokuba negalelo kwimeko entle yokujonga kwengqondo.

Nangona kunjalo, i-TRT kufuneka ijongwe ngononophelo ngugqirha wakho. Kukho iziphumo ebezingalindelekanga ezinokubakho, ezinjengeengxaki zeprotate, ukuba ndlongondlongo okungaqhelekanga, kunye nokuphazamiseka kokujikeleza.

Ukunyanga i-varicocele

Ukunyanga i-varicocele kunokuba okanye kungafuneki.

Ukuba imithambo eyandisiweyo ichaphazela ukuzala okanye impilo yamatyhalarha akho, emva koko utyando lunokuba yinto elungileyo. Ugqirha unokuyitywina imithambo okanye imithambo echaphazelekayo, ebuyisela ukuhamba kwegazi kwimithambo esempilweni kwisingxobo samatyhalarha.

Inkqubo inokuguqula i-atrophy yamatyhalarha kwaye inyuse imveliso yesidoda.

Ukunyanga iimvavanyo ezingafunekiyo

Ukuba imeko ayivavanywanga ngokungafunekiyo, kukho inkqubo yotyando enokusetyenziselwa ukuhambisa iimvavanyo ziye ezantsi kwisirhrithi. Ibizwa ngokuba yi-orchiopexy kwaye ihlala isenziwa ngaphambi kokuzalwa kwenkwenkwe yokuqala.

Ngaba izongezo ezingamadoda okanye izongezo zinokwandisa ubungakanani bamatyhalarha?

Ngokubanzi, akukho nkqubo ikhuselekileyo nesebenzayo yokunyusa umthamo wamatyhalarha. Lumka ngalo naluphi na unyango oluthengiswa kwiimagazini, kwi-Intanethi, okanye kwiishelufa zevenkile.

Zininzi iimveliso "zokuphucula amadoda" ezipapashiweyo ngaphandle kobungqina benzululwazi bokuxhasa amabango abo.

Ukuthatha izongezo ezingavunywanga yi-US Food and Drug Administration kungasebenzi kwaye kubize, kwaye, okona kubi kuyingozi kwimpilo yakho.

Ngaba kufanelekile ukuba ndikhathazeke ngobungakanani bamatyhalarha am?

Amatyhalarhu amancinane kunamndilili anokungayichaphazeli impilo yakho kwiimeko ezininzi.

Ukuba zincinci ngenxa yemeko engaphantsi, zininzi iindlela zokhetho.

Isitshixo sokunyusa amanqanaba akho e-testosterone kunye nokuveliswa kwesidoda, okanye ukunyanga enye imeko esezantsi, uthetha nogqirha wakho.